Healthcare Provider Details

I. General information

NPI: 1700513348
Provider Name (Legal Business Name): COSIMIA HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 N LAKE AVE STE 200
PASADENA CA
91101-1222
US

IV. Provider business mailing address

596 N LAKE AVE STE 200
PASADENA CA
91101-1222
US

V. Phone/Fax

Practice location:
  • Phone: 626-609-0049
  • Fax: 626-609-0027
Mailing address:
  • Phone: 626-609-0049
  • Fax: 626-609-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HAGOP JACK HOVANNESSIAN
Title or Position: CEO
Credential:
Phone: 818-388-1316